Kathryn Petrie, - Medicare Nurse Practitioner in Fitzgerald, GA

Kathryn Petrie, is a medicare enrolled "Nurse Practitioner - Family" in Fitzgerald, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dmc Physician Group Llc and her current practice location is 118 Norman Dorminy Dr, Fitzgerald, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 423-9561.

Kathryn Petrie is licensed to practice in Georgia (license number RN203692) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619365632.

Contact Information

Kathryn Petrie,
118 Norman Dorminy Dr,
Fitzgerald, GA 31750-8858
(229) 423-9561
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Petrie
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location118 Norman Dorminy Dr, Fitzgerald, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Petrie graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1619365632
  • Provider Enumeration Date: 12/29/2014
  • Last Update Date: 12/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2961729918
  • Enrollment ID: I20150331002694

Medical Identifiers

Medical identifiers for Kathryn Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619365632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN203692 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dorminy Medical CenterFitzgerald, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dmc Physician Group Llc862829684519

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Petrie allows following entities to bill medicare on her behalf.
Entity NameDmc Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430020
PECOS PAC ID: 8628296845
Enrollment ID: O20140902000773

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Petrie is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Petrie,
118 Norman Dorminy Dr,
Fitzgerald, GA 31750-8858

Ph: () -
Kathryn Petrie,
118 Norman Dorminy Dr,
Fitzgerald, GA 31750-8858

Ph: (229) 423-9561

Reviews and Comments


Nurse Practitioner Nurses in Fitzgerald, GA

Laquinta M Mason,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 Benjamin H Hill Dr Sw, Fitzgerald, GA 31750
Phone: 229-635-4004    
Mrs. Tonya Lee Sumner, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Perry House Rd, Fitzgerald, GA 31750
Phone: 229-424-1480    Fax: 229-424-7311
Suzanne Marie Stone,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 Benjamin H Hill Dr Sw, Fitzgerald, GA 31750
Phone: 229-635-4004    
Maebry Paulk,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 Benjamin H Hill Dr Sw, Fitzgerald, GA 31750
Phone: 229-635-4004    
Mrs. Virginia L Cox, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 808 S Grant St, Fitzgerald, GA 31750
Phone: 229-426-7685    
Mrs. Melvanie Melton-smith, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 162 Ocilla Hwy Ste 14, Fitzgerald, GA 31750
Phone: 229-239-9677    Fax: 229-423-4387
Shawna Cribb,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 Benjamin H Hill Dr Sw, Fitzgerald, GA 31750
Phone: 229-635-4004    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.